| NPI | 1922235571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.014891) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 8110-123) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2014-01-21 |